Stone Arch Psychology and Health Services
NPI 1124398607ActiveOrganization· Psychologist, Clinical· Minneapolis, MN
Psychologist, Clinical in Minneapolis, Minnesota, registered in NPPES in December 2011. The authorized official on file is Susan Gustafson, PSD. LP., Psychologist. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124398607 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 30, 2011 |
| Last updated in NPPES | Jun 11, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | LP3594 | MN |
| Psychologist | 103T00000X | LP3594 | MN |
| Psychologist, Adult Development & Aging | 103TA0700X | LP3594 | MN |
| Psychologist, Cognitive & Behavioral | 103TB0200X | LP3594 | MN |
| Psychologist, Counseling | 103TC1900X | LP3594 | MN |
| Psychologist, Clinical Child & Adolescent | 103TC2200X | LP3594 | MN |
| Psychologist, School | 103TS0200X | LP3594 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
Other clinical psychologists in Minneapolis
- 1003252842
- 1013352756
- 1043757925
- 1053181487
- 1073681649
- 1104038215
- 1114175791
- 1134068836
- 1134663792
- 1144046194
- 1154855831
- 1164122479
All 388 clinical psychologists in Minneapolis · All clinical psychologists in Minnesota